Liver Stiffness Measurement by Fibroscan Predicts the Size of esophageal Varies and bleeding risk in Indian Patients

Rohan Mahajan; Kandarp Saxena; Amit Mathur; Ramesh Roop Rai; Rakesh Yadav; Shankar Lal Jat

Volume : VIII, Issue : V, May - 2019

Liver Stiffness Measurement by Fibroscan Predicts the Size of esophageal Varies and bleeding risk in Indian Patients

Rohan Mahajan, Kandarp Saxena, Amit Mathur, Ramesh Roop Rai, Rakesh Yadav, Shankar Lal Jat

Abstract :

Background: Transient elastography (TE) may be used to predict the presence of portal hypertension. LS measurement may allow prediction of the presence of large EV in patients with cirrhosis and may help to select patients for endoscopic screening Methods: One hundred patients with liver cirrhosis prospectively enrolled in the study. Eligible patients were cirrhotics of all etiology and severity who were admitted at department of gastroenterology, NIMS medical college, Jaipur between August 2016 and July 2017. In all patients we performed LS measurement by TE using a FioScan device (Echosens, Paris). We selected only those cases with EV and we divided them into groups on basis of size of esophageal varices (No large oesophageal varices (no LOV) and patients with large esophageal varices (LOV) and on presence of gi bleeding (No upper GI Bleeding and upper GI bleeding) Results: Of 100 cirrhotic fioscan values were available in 82 patients. Mean fioscan value was 43.07± 22.8 Kpa. Liver stiffness values does not predicts the presence or absence of large oesophageal varices (40.97±3.52 vs. 44.97±3.62, P=0.43, Table 2) Liver stiffness significantly higher in patients with history of GI bleeding than patients with no bleeding (47.28±3.29 vs. 36.81± 3.73, P=0.04, Table 2, Fig 3) Conclusion: LS measurement by means of TE is accurate for assessing the risk of variceal hemorrhage in cirrhotic patients but its doesn’t predicts the presence of large oesophageal varices